NCLEX Exam Challenge (Iggy Text) Exam 3
Questions And Answers 100% Pass
A client who had open abdominal surgery 4 hours ago reports feeling weak and dizzy. The
client's current blood pressure has decreased to 98/50, and pulse rate is 108. What is the nurse's
best action at this time?
a. Docume...
A client who had open abdominal surgery 4 hours ago reports feeling weak and dizzy. The
client's current blood pressure has decreased to 98/50, and pulse rate is 108. What is the nurse's
best action at this time?
a. Document the vital signs, and continue to monitor the client.
b. Remind the client to stay in bed if feeling weak and dizzy.
c. Call the health care provider immediately.
d. Increase the client's IV rate to restore fluid volume. - answer✔c. Call the health care provider
immediately.
p. 663
The health care provider prescribes warfarin (Coumadin) for a client with atrial fibrillation.
Which foods will the nurse teach the client taking this drug to avoid? Select all that apply.
a. Spinach
b. Corn
c. Tomatoes
d. Brussel sprouts
e. Potatoes - answer✔a. Spinach
d. Brussel sprouts
A client is prescribed to take rivaroxaban (Xarelto) 20 mg orally every day. What is the nurse's
priority when teaching the client about this drug?
a. "Be sure to keep laboratory appointments to check your clotting times."
b. "Take the medication every morning before breakfast."
c. "Report any signs of bleeding to your health care provider."
d. "Have vitamin K available in case you need it." - answer✔c. "Report any signs of bleeding to
your health care provider."
p. 669
A client in the telemetry unit is on a cardiac monitor. The monitor technician notices there are no
ECG complexes and the alarm sounds. What is the first action by the nurse?
a. Begin CPR immediately.
b. Call the emergency response team.
c. Press the record button to get an ECG strip.
d. Assess the client and check lead placement. - answer✔d. Assess the client and check lead
placement.
p. 673
A client is diagnosed with left-sided heart failure. Which assessment findings will the nurse
expect the client to have? Select all that apply.
a. Peripheral edema
b. Crackles in both lungs
c. Breathlessness
d. Ascites
e. Tachypnea - answer✔b. Crackles in both lungs
c. Breathlessness
e. Tachypnea
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